Acute arterial limb disease

Question 1

Causes?

Answer 1

• Emboli: blood clot, air bubble which moves to vessel and occludes it
• Thrombi: blood clot which forms in situ and blocks blood vessel

Question 2

Presentation

Answer 2

6P’s:

• pain
• pallor
• paraestesia
• perishingly cold
• pulselessness
• paralysis

Compartment syndrome:

• muscle ischaemia, inflammation, oedema, vein obstruction
• tender calf
• rise of kinase creatinine
• potential renal failure

Question 3

Treatment

Answer 3

If limb is salvageable:

• emboli= embolectomy
• thrombosis= thrombolectomy, embolectomy, bypass

Question 4

Diabetic foot syndrome pathophysiology and treatment

Answer 4

• microvascular peripheral artery disease
• peripheral neuropathy
• mechanical imbalance
• prone to infection
• amputation
• revascularisation